Workers’ comp professionals are seeing delayed recovery as an increased challenge in claims – as injured employees may not be progressing along a medically reasonable and expected time frame. However, it can be difficult to pinpoint exactly why the delay is occurring in order to address the issue. We may believe the injured employee is simply not complying with treatment and malingering.
Seizing opportunity within the complexities of workers’ comp prescription utilization requires a holistic approach that manages all transactions to gain the full picture of medications being utilized. This Enlytening Conversation covers key factors for payers to consider that impact pharmacy utilization and cost, including legislative and regulatory challenges, physician dispensing, utilization controls, complex billing issues and cost management solutions that consider therapy as a whole.
PrecisionDirect allows auto carriers to improve payment accuracy for provider services. During claims settlements busy adjusters often have neither the time or experience to negotiate and pay providers directly on bodily injury claims. Today, Enlyte is working to streamline that process by launching PrecisionDirect, an integrated provider negotiations and networks solution designed to free up adjusters to focus on claim settlement while securing savings on these bills.
Let’s set the stage with some facts that every carrier can relate to: a desire to close claims quicker and with more accuracy. If a fair settlement can be reached early on, it becomes a win-win for all parties involved. This is clearer than ever in the current environment.
Conventionally, the process of settling bodily injury claims entails a period of waiting—waiting for the injured individual to conclude their medical treatments and compile all pertinent medical bills and records. Enlyte’s new PrecisionDirect solution gives Auto Carriers exclusive access our expert negotiation services integrated with the Coventry Auto Network to ensure your client pays fair and accurate rates to providers on their unrepresented settlements.
As temperatures climb, so do the risks of workplace injuries related to heat. Recent studies, including comprehensive research by the Workers Compensation Research Institute (WCRI), highlight the growing impact of heat on workplace injuries and workers' compensation claims. With summer in full swing, it is crucial for businesses to implement strategies that prevent heat-related injuries and provide immediate, effective responses when they occur.
Technology and workplace safety are coming together in exciting ways, leading to innovative changes in caring for injured employees and preventing workplace injuries. New technologies and trends in workers’ compensation are transforming how employers and employees handle claims, maintain safety at work, and support recovery.